HomeMy WebLinkAboutCORRESPONDENCE - PURCHASE ORDER - 9191791Change Order Form (for Work Orders)
Official Purchasing Form
Last updated 10/2017
CHANGE ORDER
NO. 2
PROJECT TITLE: L-Path Erosion Protection and Conceptual Design
CONTRACTOR: ICON Engineering, Inc.
WORK ORDER NUMBER: BLA-2018-01
PO NUMBER: 9184173
DESCRIPTION:
1. Reason for Change: Change in scope, cost and time
2. Description of Change: Change order of $16,067 to original scope and fee ($91,870) due to
additional services requested. Total contract cost with change order is $107,937.00.
Additional services include compliance with SB18-167 compliance for in-house small capital
projects, development of a 2D hydraulic model to inform design parameters, and landscape
architect services by DHM to assist in "softening" the overall repair and preparing a re-
vegetation plan.
3. Change in Work Order Price: $16,067.00
4. Completion Date (if changed): December 31, 2019
ORIGINAL WORK ORDER PRICE $ 91,870.00
TOTAL APPROVED CHANGE ORDER 00.00
TOTAL PENDING CHANGE ORDER 00.00
TOTAL THIS CHANGE ORDER $ 16,067.00
TOTAL % OF THIS CHANGE ORDER 17.48%
TOTAL C.O.% OF ORIGINAL WORK ORDER 17.48%
ADJUSTED WORK ORDER COST $ 107,937.00
CONTRACTOR: ICON Engineering, Inc.
By: Date:
Name: Title:
ACCEPTANCE: Date:
Beck Anderson, Civil Engineer II
REVIEWED: Date:
Marisa Donegon, Buyer II
DocuSign Envelope ID: EE4BCBE0-38A6-48A9-8BF3-0F8993FFCA53
October 9, 2019
October 16, 2019
Craig Jacobson Principal
October 9, 2019
Change Order Form (for Work Orders)
Official Purchasing Form
Last updated 10/2017
ACCEPTANCE: Date:
Ken Sampley, Director, Civil Engineering
ACCEPTANCE: Date:
Theresa Connor, Deputy Director, Water Engineering & Field Services
ACCEPTANCE: Date:
Gerry Paul, Purchasing Director
(if greater than $60,000)
DocuSign Envelope ID: EE4BCBE0-38A6-48A9-8BF3-0F8993FFCA53
October 19, 2019
October 22, 2019